Kimberley A Wilson, PT, DPT is a medicare enrolled "Physical Therapist" physician in Shepherdsville, Kentucky. Her current practice location is
6 Creekview Ct, Shepherdsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 939-8564.
Kimberley A Wilson is licensed to practice in Kentucky (license number 006920) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114474434.
Physician's Profile
| Full Name | Kimberley A Wilson |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 6 Creekview Ct, Shepherdsville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114474434
- Provider Enumeration Date: 09/02/2016
- Last Update Date: 07/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143502252
- Enrollment ID: I20170125002710
Medical Identifiers
Medical identifiers for Kimberley A Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114474434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 006920 (Kentucky) | Secondary |
| 225100000X | Physical Therapist | 006920 (Kentucky) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberley A Wilson allows following entities to bill medicare on her behalf.
| Entity Name | Inspire Physical Therapy |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1346871571
PECOS PAC ID: 7618358722
Enrollment ID: O20220721000534 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberley A Wilson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberley A Wilson, PT, DPT
6 Creekview Ct,
Shepherdsville, KY 40165-8945
Ph: (502) 939-8564 | Kimberley A Wilson, PT, DPT
6 Creekview Ct,
Shepherdsville, KY 40165-8945
Ph: (502) 939-8564 |
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